|Publication number||US7998146 B2|
|Application number||US 11/673,627|
|Publication date||Aug 16, 2011|
|Filing date||Feb 12, 2007|
|Priority date||Feb 12, 2007|
|Also published as||US20080195111, US20110270254|
|Publication number||11673627, 673627, US 7998146 B2, US 7998146B2, US-B2-7998146, US7998146 B2, US7998146B2|
|Original Assignee||Innomed, Inc.|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (8), Non-Patent Citations (1), Referenced by (3), Classifications (16), Legal Events (1)|
|External Links: USPTO, USPTO Assignment, Espacenet|
1. Technical Field
This invention relates generally to an apparatus and method for removing a prosthetic hip cup from a pelvic bone, and more specifically to a tool having interchangeable heads for removing hip cups having different dimensions.
2. Background Art
Over the years, advances in medical procedures have helped countless people live normal lives after suffering devastating ailments. One such area of advancement has been in the field of orthopedic medicine, which is the curing of disorders of the musculoskeletal system. In particular, progress in the field hip replacement has been very important to helping those with mobility problems caused by hip damage.
One common type of hip ailment is the loss of cartilage in the hip sockets, which hold rotary balls attached to the femur bones. This relationship between the hip sockets and the rotary balls enables a person to walk and perform other movement of the legs. In a healthy hip, the cartilage present in the hip socket acts as a cushion that enables the rotary ball to move freely in the hip socket. As this cartilage deteriorates, sometimes with age and sometimes with disease, the rotary ball may begin to rub against the bone surface of the hip socket thereby causing bone on bone grinding. This grinding may be very painful.
To help people with damaged cartilage in their hips, doctors sometimes replace the rotary ball of the femur with a prosthetic rotary device, and insert a prosthetic hip cup into the pelvic bone. The prosthetic rotary device then fits within the prosthetic hip cup, and works as an artificial hip. Over time, these prosthetic pieces may become worn and may need to be replaced. Tools to replace the prosthetic hip cup are known in the art. The problem with these prior art replacement tools, however, is that they are typically designed for only one type or size of hip cup. For instance, they may be designed to work with only one manufacturer's cup or one size cup.
In recent years, new hip cup designs have been introduced. In general, these designs are made by different manufacturers and in different sizes. Because of their varying sizes, tools used to replace the specific hip cups are not suitable for use with these varying sized cup implants. For example, when a tool designed to remove the small hip cup is used to remove a larger hip cup, the tool may not seat properly within the cup, thereby making the cutting process erratic and haphazard.
There is thus a need for an improved hip cup removal device suitable for use with hip cups of varying sizes.
The accompanying figures, where like reference numerals refer to identical or functionally similar elements throughout the separate views and which together with the detailed description below are incorporated in and form part of the specification, serve to further illustrate various embodiments and to explain various principles and advantages all in accordance with the present invention.
Skilled artisans will appreciate that elements in the figures are illustrated for simplicity and clarity and have not necessarily been drawn to scale. For example, the dimensions of some of the elements in the figures may be exaggerated relative to other elements to help to improve understanding of embodiments of the present invention.
Before describing in detail embodiments that are in accordance with the present invention, it should be observed that the embodiments reside primarily in combinations of method steps and apparatus components related to an apparatus and method for employing a hip cup removal apparatus using a detachable head for removing a prosthetic hip cup from a pelvic bone. Accordingly, the apparatus components and method steps have been represented where appropriate by conventional symbols in the drawings, showing only those specific details that are pertinent to understanding the embodiments of the present invention so as not to obscure the disclosure with details that will be readily apparent to those of ordinary skill in the art having the benefit of the description herein.
Embodiments of the invention are now described in detail. Referring to the drawings, like numbers indicate like parts throughout the views. As used in the description herein and throughout the claims, the following terms take the meanings explicitly associated herein, unless the context clearly dictates otherwise: the meaning of “a,” “an,” and “the” includes plural reference, the meaning of “in” includes “in” and “on.” Relational terms such as first and second, top and bottom, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, reference designators shown herein in parenthesis indicate components shown in a figure other than the one in discussion. For example, talking about a device (10) while discussing figure A would refer to an element, 10, shown in figure other than figure A.
The invention described below generally relates to a tool and method being used in the process of hip cup replacement. To better understand the process with which the invention is used, below is a brief summary of the complete process of a hip cup replacement procedure using hip cup replacement devices in accordance with embodiments of the present invention.
The inside and outside diameters of the prosthetic hip cup to be removed are measured. A blade size is chosen to correspond to an outside diameter of the cup. A spherical head size is next chosen based on the inside diameter of the cup liner. The spherical head corresponding to the cup size is then installed onto a shaft configured with a short, starter blade, which begins the hip cup removal process. The starter blade, which is shorter and stiffer than a finishing blade (described below), is used around the top rim of the prosthetic hip cup to remove denser bone. The head is then seated into the old prosthetic hip cup liner. A mallet may be used to strike an impaction platform on the end of the shaft to help drive the blade into the pelvic bone. The shaft may then be pivoted and/or rotated to make an orbital cut around the old prosthetic hip cup. A handle positioned near the end of the shaft allows for easier rotation of the instrument.
Once the starter blade has removed the outer bone around the old prosthetic hip cup, the head may be removed from the starter blade shaft and installed on a finishing device consisting of a shaft having a finishing blade coupled thereto. The longer, thinner finish blade is used for deeper cutting around the dome of the old prosthetic hip cup. The shaft is pivoted and/or rotated is the same manner as the starter blade device until the finishing blade removes the bone around the old prosthetic hip cup. The old prosthetic hip cup may now be removed from the hip so that a new one can be inserted.
Turning now to
The head 100 comprises a semispherical section 102 which terminates in a substantially planar surface 104. As used herein, the term “semispherical” does not necessarily mean hemispherical. For the purpose of this invention, semispherical is defined as being a range of shapes that may be less than half a sphere, or may be greater than half a sphere. In one embodiment, the semispherical section 102 of the head 100 has a spherical section diameter 103 of between 39 millimeters and 60 millimeters.
The head 100 further comprises a hip cup extraction apparatus aperture 106 which may be disposed centrally along the substantially planar surface 104. When the head 100 is attached to the hip cup extraction apparatus 101, a shaft the hip cup extraction apparatus 101 fits inside of the hip cup extraction apparatus aperture 106. In one embodiment, the hip cup extraction apparatus aperture 106 has an aperture diameter 107 of between 7 millimeters and 12 millimeters. Experimental testing has shown that an aperture diameter 107 is between 9.525 millimeters and 9.551 millimeters works well in practice.
In one embodiment, the head 100 further comprises a cylindrical détente 116 disposed about the hip cup extraction apparatus aperture 106. Experimental testing has shown that a cylindrical détente 116 having a diameter of between 11.45 millimeters and 11.71 millimeters so as to accommodate a hip cup extraction apparatus 101 having a shaft 112 with a diameter of between 10.87 millimeters and 10.97 millimeters is effective in the removal of most commonly available hip cups. As illustrated in the exemplary embodiment of
In one embodiment, the head 100 further comprises a retaining sleeve 108, which projects distally from the substantially planar surface 104 about the hip cup extraction apparatus aperture 106. The retaining sleeve 108 projects distally from the substantially planar surface 104 by at least 9 millimeters. The retaining sleeve 108 may be used to increase a head distal length 109. Increasing the head distal length 109 may increase the length of the hip cup extraction apparatus aperture and thus increase the length of the hip cup extraction apparatus 101 that is inside of the hip cup extraction apparatus aperture 106, thereby increasing the mechanical stability between the head 100 and the shaft 112.
Turning briefly to
Turning now to
Now turning to
The hip cup extraction apparatus 101 includes a handle 404 that projects outward from the shaft 402. In one embodiment, the handle 404 is disposed distally from the first end 410, toward the second end 412 of the shaft 112. The hip cup extraction apparatus 101 may further include an impaction platform 416 disposed at, or near, the second end 412 of the shaft 112. An impaction device, such as a hammer or mallet, may be used to hit the impaction platform 416 to drive the blade 406 into the pelvic bone to begin the cutting process.
The hip cup extraction apparatus 101 has a semicircular cutting blade 406 affixed thereto. The semicircular cutting blade 406 projects outwardly from the shaft 112. In one embodiment, the semicircular cutting blade 406 may terminate between 17 millimeters and 20 millimeters from a radial center of the shaft 112. Those with ordinary skill in the art having the benefit of this disclosure will appreciate that the semicircular cutting blade 406 may be manufactured in shapes and sizes other than that shown in
To retain the head 100 to the hip cup extraction apparatus 101, a latching device such as a spring loaded latching member 408, may be employed. The spring loaded latching member 408 is coupled to the shaft 112 between the semicircular cutting blade 406 and the first end of the shaft 402. In one embodiment, the spring loaded latching member 408 includes a circular void in the shaft 112, a metal ball bearing, and a spring. The diameter of the metal ball bearing is greater than an opening in the circular void. When the ball bearing is loaded against inner side of the circular void by the spring, part of the ball bearing protrudes through the circular void and extends outward from the shaft. When sufficient pressure is exerted against the spring loaded latching member 408, the ball bearing may retract into the shaft 112. It will be clear to those of ordinary skill in the art having the benefit of this disclosure that other latching mechanisms may also be used, including lever assemblies, snaps, and other similar devices.
The head 100 may be selectively attached to the hip cup extraction apparatus 101 so as to permit heads of different diameters to be used with the same hip cup extraction apparatus. The first end 410 of the shaft slides into the hip cup extraction apparatus aperture 106. As the head 100 slides onto the hip cup extraction apparatus 101, the tip 418 of the semicircular cutting blade 406 passes through the three sided void 110 so as to allow the head 100 to pass completely onto the hip cup extraction apparatus 101 without any mechanical interference. When the hip cup extraction apparatus aperture 106 passes over the spring loaded latching member 408, the spring loaded latching member 408 is depressed. Once the spring loaded latching member 408 reaches the cylindrical détente 116, the spring loaded latching member 408 extends into the cylindrical détente 116, thereby latching the head 100 to the shaft.
Turning now to
The hip cup removal apparatus is rotated, at step 508, such that the semicircular cutting blade passes about the hip cup. At step 510, the hip cup removal apparatus is rotated until the hip cup can be removed at step 512. In one embodiment of the method 500, the hip cup removal apparatus may be pivoted along an axis such that the semicircular cutting blade may pass completely about the hip cup. In a further embodiment of the method 500, a plurality of semicircular cutting blades—including a starter blade and a finishing blade—may be used in removing the hip cup.
Turning now to
Turning now to
In the foregoing specification, specific embodiments of the present invention have been described. However, one of ordinary skill in the art appreciates that various modifications and changes can be made without departing from the scope of the present invention as set forth in the claims below. Thus, while preferred embodiments of the invention have been illustrated and described, it is clear that the invention is not so limited. Numerous modifications, changes, variations, substitutions, and equivalents will occur to those skilled in the art without departing from the spirit and scope of the present invention as defined by the following claims. Accordingly, the specification and figures are to be regarded in an illustrative rather than a restrictive sense, and all such modifications are intended to be included within the scope of present invention.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US4528980 *||Oct 19, 1983||Jul 16, 1985||Howmedica, Inc.||Acetabulum sizer and drill guide|
|US4896663 *||Oct 14, 1988||Jan 30, 1990||Boehringer Mannheim Corporation||Self centering femoral drill jig|
|US5370704 *||Nov 24, 1993||Dec 6, 1994||Joint Medical Products Corporation||Oblong acetabular cup|
|US5904688 *||Dec 30, 1997||May 18, 1999||Bristol-Myers Squibb Co.||Orthopaedic assembly including an acetabular cup and cup inserter|
|US6063124 *||Mar 1, 1999||May 16, 2000||Amstutz; Harlan C.||Acetabular cup prosthesis insertion and removal assembly and technique|
|US6676706||Apr 26, 2000||Jan 13, 2004||Zimmer Technology, Inc.||Method and apparatus for performing a minimally invasive total hip arthroplasty|
|US6953480||Jan 22, 2002||Oct 11, 2005||Zimmer Technology, Inc.||Method and apparatus for performing a minimally invasive total hip arthroplasty|
|US20020116007 *||Sep 17, 2001||Aug 22, 2002||Lewis Randall J.||Method and apparatus for removing an acetabular cup|
|1||Sales brochure, Innomed, "Universal Hip Cup Removal System", 2006.|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US9119644 *||Aug 15, 2011||Sep 1, 2015||New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery||Instruments for use in femoroacetabular impingement procedures|
|US20120046526 *||Aug 15, 2011||Feb 23, 2012||New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery||Instruments for use in femoroacetabular impingement procedures|
|WO2015155657A1||Apr 3, 2015||Oct 15, 2015||Medacta International Sa||Device for removing an acetabular cup|
|U.S. Classification||606/99, 606/91|
|International Classification||A61B17/60, A61F2/00, A61B17/58|
|Cooperative Classification||A61F2002/4619, A61F2/4609, A61F2220/0033, A61F2/34, A61F2002/30616, A61F2002/30505, A61B17/1666, A61F2220/0025, A61F2002/30331|
|European Classification||A61F2/46B5, A61B17/16S2C|